Which factor(s) contribute to decreased client adherence to medications? Select all that apply.
Taking extended-release medications
Increased cost of the medication
Fear of side effects from the medication
Understanding benefits of the medication
Having trust in the healthcare provider
Correct Answer : B,C
A. Taking extended-release medications: Extended-release formulations are typically taken once daily, which can actually improve adherence by reducing dosing frequency. These formulations maintain stable plasma drug levels, lowering the likelihood of missed doses and enhancing pharmacologic consistency rather than contributing to nonadherence.
B. Increased cost of the medication: High medication costs are a major barrier to adherence because clients may ration doses, skip medications, or fail to refill prescriptions. Financial constraints can interfere with continuous therapeutic drug levels, increasing the risk of treatment failure and worsening disease outcomes.
C. Fear of side effects from the medication: Anxiety about potential adverse effects can significantly reduce adherence, as clients may intentionally lower doses or discontinue medication. Fear often stems from past negative experiences or misunderstandings about expected versus serious effects, impacting consistent pharmacologic therapy.
D. Understanding benefits of the medication: Understanding therapeutic benefits typically improves adherence by increasing the client’s motivation to continue treatment. Knowledge of how the drug controls disease progression or symptoms promotes self-management and strengthens medication-taking behaviors.
E. Having trust in the healthcare provider: A strong provider–client relationship enhances communication and confidence in prescribed treatments, leading to better adherence. Trust increases the likelihood of clients following instructions, reporting concerns early, and maintaining long-term medication routines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. It indicates that the current dose is too low: Constipation is not an indicator of inadequate analgesia. Even therapeutic doses of morphine commonly cause gastrointestinal slowing regardless of pain control.
B. It is a sign that the medication is not working: Constipation does not reflect the effectiveness of morphine for pain relief. The analgesic effect may be adequate, while opioid-induced bowel effects occur independently.
C. It is an adverse effect of the morphine: Morphine binds to mu-opioid receptors in the gastrointestinal tract, reducing peristalsis and increasing water absorption from the stool. This predictable pharmacologic effect is a common adverse reaction requiring proactive bowel management.
D. It is an interaction with another medication: While drug interactions can contribute to gastrointestinal symptoms, opioid-induced constipation is a direct pharmacologic effect of morphine itself and occurs even in the absence of other medications.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
- Hepatotoxicity: Acetaminophen overdose or chronic high-dose use can lead to liver injury and potentially acute liver failure. Hepatotoxicity is a major concern, particularly in clients with preexisting liver disease or chronic alcohol use.
- Stevens-Johnson syndrome: Although rare, acetaminophen can trigger severe skin reactions such as Stevens-Johnson syndrome or toxic epidermal necrolysis. These life-threatening reactions require immediate discontinuation of the drug and medical intervention.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.